This study will be conducted to evaluate the safety, tolerability, pharmacokinetics (PK), and pharmacodynamics (PD) of NTLA-2001 in participants with hereditary transthyretin amyloidosis with polyneuropathy (ATTRv-PN) and participants with hereditary transthyretin amyloidosis with cardiomyopathy (ATTRv-CM) or wild type cardiomyopathy (ATTRwt-CM)
For ATTRv-PN participants, Part 1 consists of an open-label, single-ascending dose study, which identifies the dose for evaluation in the cohort expansion of Part 2. Part 2 will follow as an open-label, dose expansion study to further characterize the activity of NTLA-2001, provide an initial assessment of the effect of NTLA-2001 on clinical measures of neuropathy and neurological function, and obtain additional safety data. For ATTR-CM participants, Part 1 consists of an open-label, single-ascending dose study, which identifies the dose for evaluation in the cohort expansion of Part 2. Part 2 will follow as an open-label, dose expansion study to further characterize the activity of NTLA-2001, provide an initial assessment of the effect of NTLA-2001 on cardiac measures, and obtain additional safety data. All participants who are dosed with NTLA-2001 will be offered to participate in a long-term safety monitoring follow-up study via a separate protocol.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
72
A clustered regularly interspaced short palindromic repeats (CRISPR)/Cas9 gene editing system delivered by lipid nanoparticles (LNPs) for intravenous (IV) administration
Clinical Trial Site
Paris, France
Clinical Trial Site
Auckland, New Zealand
Clinical Trial Site
Umeå, Sweden
Clinical Trial Site
London, United Kingdom
Number of Participants with Treatment-Emergent Adverse Events
Time frame: up to Day 730
Number of Participants with Clinically Significant Clinical Laboratory Test Findings
Time frame: up to Day 730
Number of Participants with Clinically Significant Safety Measurements
Time frame: up to Day 730
Percent Change from Baseline in Serum TTR (enzyme-linked immunosorbent assay [ELISA])
Time frame: up to Day 730
Percent Change from Baseline in Serum Prealbumin
Time frame: up to Day 730
Mean Area Under the Plasma Concentration-Time Curve from Time Zero to the Time of the Last Measurable Concentration (AUClast) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
Time frame: up to Day 730
Mean Area Under the Plasma Concentration-Time Curve from Time Zero to Infinity (AUCinf) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
Time frame: up to Day 730
Mean Maximum Concentration (Cmax) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
Time frame: up to Day 730
Mean Time of the Maximum Concentration (Tmax) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
Time frame: up to Day 730
Mean Terminal Half-Life (t½) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
Time frame: up to Day 730
Mean Apparent Clearance (CL) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
Time frame: up to Day 730
Mean Volume of Distribution (Vd) for DMG-PEG2k, LP000001, Cas9 mRNA, and sgRNA
Time frame: up to Day 730
Change from Baseline in Anti-Drug Antibody to NTLA-2001 and Anti-Cas9 Protein Antibody to Transgene Product Levels
Time frame: up to Day 730
Polyneuropathy only: Change from Baseline in Familial Amyloid Polyneuropathy (FAP) Stage.
Time frame: up to Day 730
Polyneuropathy only: Change from Baseline in Polyneuropathy Disability (PND) Score
Time frame: up to Day 730
Polyneuropathy only: Change from Baseline in Modified Body Mass Index (mBMI)
Time frame: up to Day 730
Polyneuropathy only: Change from Screening in Neuropathy Impairment Score (NIS)
Time frame: up to Day 730
Polyneuropathy only: Change from Baseline in Modified Neuropathy Impairment Score +7 (mNIS+7)
Time frame: up to Day 730
Polyneuropathy only: Change from Screening in 10-Meter Walk Test (10-MWT)
Time frame: up to Day 730
Polyneuropathy only: Change from Baseline in Norfolk Quality of Life-Diabetic Neuropathy (QOL-DN)
Time frame: up to Day 730
Polyneuropathy only: Change from Baseline in EuroQOL (EQ)-5D-5L
Time frame: up to Day 730
Cardiomyopathy only: Change from Baseline in N-terminal prohormone of brain natriuretic peptide (NT-proBNP)
Time frame: up to Day 730
Cardiomyopathy only: Change from Baseline in hs Troponin T
Time frame: up to Day 730
Cardiomyopathy only: Change from Baseline in Magnetic resonance imaging (MRI)
Time frame: up to Day 730
Cardiomyopathy only: Change from Baseline in Echocardiogram
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Time frame: up to Day 730
Cardiomyopathy only: Change from Baseline in Cardio-pulmonary exercise test
Time frame: up to Day 730
Cardiomyopathy only: Change from Baseline in 6-Minute Walk Test (6-MWT)
Time frame: up to Day 730
Cardiomyopathy only: Change from Baseline in New York Heart Association (NYHA) Classification
Time frame: up to Day 730
Cardiomyopathy only: Change from Baseline in Patient-reported outcomes (KCCQ)
Time frame: up to Day 730